Rosh - Cardiology
Which of the following patients meet criteria for statin lipid-lowering therapy for the
primary prevention of cardiovascular disease?
A. 16 year old patient with Type 1 diabetes and an LDL of 140 mg/dL
B. 22 year old patient with an LDL of 180 mg/dL
C. 34 year old patient with an LDL of 146 mg/dL and a 4% risk of having a heart attack
or stroke in the next 10 years
D. 42 year old patient with Type 1 diabetes and an LDL of 105 mg/dL - ANS-D. 42 year
old patient with Type 1 diabetes and an LDL of 105 mg/dL
45 year old man with a history of hypertension presents to his primary care provider for
follow up. He states that he was unable to refill his prescription for his hypertension
medications. He states he is feeling well. His bp is 182/122 mgHg. Which of the
following is the most likely diagnosis?
A. Hypertensive emergency
B. Hypertensive urgency
C. Resistant hypertension
D. White coat hypertension - ANS-B. Hypertensive urgency
An African-American man with no other medical conditions is being started on
pharmacological therapy for primary hypertension. Which of the following is the most
appropriate initial hypertensive medication for this patient?
A, Amlodipine
B. Lisinopril
C. Losartan
D. Metoprolol - ANS-A. Amlodipine - CCB
Which of the following is a difference between the treatment of right ventricular
myocardial infarctions and the standard treatment of myocardial infarctions?
A. Dual oral antiplatelet therapy should not be used in patients with right ventricular
myocardial infarctions
B. Nitroglycerin use should be avoided in patients with right ventricular myocardial
infarctions
, C. Percutaneous coronary intervention should not be sued in patients with right
ventricular myocardial infarctions
D. Statin therapy should not be used in patients with right ventricular myocardial
infarctions - ANS-B. Nitroglycerin use should be avoided in patients with right ventricular
myocardial infarctions
Which of the following tachyarrhythmias has similar risk factors and presents similarly to
atrial fibrillation?
A. Atrial flutter
B. Atrioventricular nodal re-entry tachycardia
C. Multifocal atrial tachycardia
D. Ventricular tachycardia - ANS-A. Atrial flutter
Which of the following diagnoses best corresponds with the rhythm strip shown above?
A. Atrial fibrillation
B. Multifocal atrial tachycardia
C. Sinus arrhythmia
D. Wandering atrial pacemaker - ANS-D. Wandering atrial pacemaker
Which of the following is first-line intervention for treating hypercholesterolemia in a
patient who has never had a cardiovascular event?
A. Antiplatelet therapy
B. Lifestyle modification
C. Nonstatin lipid lowering therapy
D. statin therapy - ANS-B. lifestyle modification
A 40 year old man with a history of type 2 diabetes mellitus and alcohol disorder
presents to your office to review recent laboratory results. Lipid panel reveals a
triglyceride count of 900 mg/dL. A diagnosis of hypertriglyceridemia is made. Which of
the following is the most appropriate initial thearpy?
A. Fenofibrate
B. Fenofibrate plus fish oil
C. Losartan
D. Dictonic acid - ANS-A. Fenofibrate
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